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925 York Dr | DeSoto TX, 75115
Tels. (972) 5721600 | Fax (972) 5722133
Viral Latvia, PATIENT INFORMATION
Date___ Patient Name___Medical Record#: ___
SS#/SIN___ Male
Female Birthdate___ Home Phone___
Address___
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Viral Lathia MD is a medical directive related to the reporting and management of viral infections, particularly in a clinical or research setting.
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Information such as patient identifiers, type of virus, date of diagnosis, treatment details, and outcomes must be reported on Viral Lathia MD.
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